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Providers

Provider Manual

Your source for commonly asked questions about healthcare coverage, claims procedures, policies and more.

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Provider forms

Access forms for dental and medical providers.

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Health Information Network (HIN)

Provides access to patient information including demographics, eligibility and benefits, claims, claim submission, claim correction, claim status, remittance advices, fee schedules, and more.

Learn about HIN Access AHIN

Electronic Data Interchange (EDI)

Your resource for the Health Insurance Portability and Accountability Act (HIPAA) requirements and testing.

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Coverage policy

Quickly search for coverage information using a keyword, procedure code, policy number or title.

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BlueCard® program

A program linking providers across the country into a single electronic network for claims processing and reimbursement.

Learn about BlueCard

Value-based programs

Learn more about our value-based care program, which rewards providers for coordinating care and for positive health outcomes.

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Blue Distinction Centers

The Blue Distinction program highlights medical facilities demonstrating expertise in delivering quality healthcare.

View Blue Distinction Centers

Prior approval statistics

See our prior approval statistics for each quarter for medical, pharmacy and transplants.

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Network participation guidelines

Access network participation guidelines and policies for credentialing standards.

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Network development reps (NDRs)

Contact one of our medical network representatives with questions or billing issues.

Contact NDRs

My BlueLine

Participating providers may call My BlueLine for eligibility, claim status and benefit information for patients.

Contact My BlueLine